Exam (elaborations)
HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS
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HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS
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HESI PREP - HEALTH ASSESSMENT PRACTICEQUESTIONS
1. In an interview, the nurse may find it necessary to take notes to aid his or her
memory later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the nurse
records what is said.
C) Note-taking allows the nurse to shift attention away from the patient, resulting in an
increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient, which may
increase his or her level of comfort. - ANSWERS-A) Note-taking may impede the
nurse's observation of the patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But be aware
that note-taking during the interview has disadvantages. It breaks eye contact too often,
and it shifts attention away from the patient, which diminishes his or her sense of
importance. It also may interrupt the patient's narrative flow, and it impedes the
observation of the patient's nonverbal behavior.
2. During an interview, the nurse states, "You mentioned shortness of breath. Tell me
more about that." Which verbal skill is used with this statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question - ANSWERS-D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states the topic to
be discussed but only in general terms. The nurse should use it to begin the interview,
to introduce a new section of questions, and whenever the person introduces a new
topic.
Page: 46 In a situation where there is a language barrier and no interpreter available,
use simple words avoiding medical jargon. Avoid using contractions and pronouns. Use
nouns repeatedly and discuss one topic at a time.
7. A female patient does not speak English well, and the nurse needs to choose an
interpreter. Which of the following would be the most appropriate choice?
A) A trained interpreter
B) A male family member
C) A female family member
,D) A volunteer college student from the foreign language studies department -
ANSWERS-A) A trained interpreter
Page: 46 whenever possible, the nurse should use a trained interpreter, preferably one
who knows medical terminology. In general, an older, more mature interpreter is
preferred to a younger, less experienced one, and the same gender is preferred when
possible.
8. The nurse is conducting an interview. Which of these statements is true regarding
open-ended questions? Select all that apply.
A) They elicit cold facts.
B) They allow for self-expression.
C) They build and enhance rapport.
D) They leave interactions neutral.
E) They call for short one- to two-word answers.
F) They are used when narrative information is needed. - ANSWERS-B) They allow for
self-expression.
C) They build and enhance rapport.
F) They are used when narrative information
Page: 32 Open-ended questions allow for self-expression, build rapport, and obtain
narrative information. These features enhance communication during an interview. The
other statements are appropriate for closed or direct questions.
9. The nurse is conducting an interview in an outpatient clinic and is using a computer to
record data. Which is the best use of the computer in this situation? Select all that
apply.
A) Collect the patient's data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing. - ANSWERS-A) Collect the
patient's data in a direct, face-to-face manner.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Page: 32 The use of a computer can become a barrier. The nurse should begin the
interview as usual by greeting the patient, establishing rapport, and collecting the
patient's narrative story in a direct face-to-face manner. Only after the narrative is fully
explored should the nurse type data into the computer. When typing, the nurse should
position the monitor so that the patient can see it.
10. During an assessment, the nurse notices that a patient is handling a small charm
that is tied to a leather strip around his neck. Which action by the nurse is appropriate?
,A) Ask the patient about the item and its significance.
B) Ask the patient to lock the item with other valuables in the hospital's safe.
C) Tell the patient that a family member should take valuables home.
D) No action is necessary. - ANSWERS-A) Ask the patient about the item and its
significance.
Page: 21 The nurse should inquire about the amulet's meaning. Amulets, such as
charms, are often seen as an important means of protection from "evil spirits" by some
cultures.
11. In the majority culture of America, coughing, sweating, and diarrhea are symptoms
of an illness. For some individuals of Mexican-American origin, however, these
symptoms are a normal part of living. The nurse recognizes that this is true, probably
because Mexican-Americans:
A) have less efficient immune systems and are often ill.
B) consider these symptoms a part of normal living, not symptoms of ill health.
C) come from Mexico and coughing is normal and healthy there.
D) are usually in a lower socioeconomic group and are more likely to be sick. -
ANSWERS-B) consider these symptoms a part of normal living, not symptoms of ill
health.
Page: 27 The nurse needs to identify the meaning of health to the patient, remembering
that concepts are derived, in part, from the way in which members of the cultural group
define health.
12. Among many Asians there is a belief in the yin/yang theory, rooted in the ancient
Chinese philosophy of Tao. The nurse recognizes which statement that most accurately
reflects "health" in an Asian with this belief?
A) A person is able to work and produce.
B) A person is happy, stable, and feels good.
C) All aspects of the person are in perfect balance.
D) A person is able to care for others and function socially. - ANSWERS-C) All aspects
of the person are in perfect balance.
Page: 21 Many Asians believe in the yin/yang theory, in which health is believed to exist
when all aspects of the person are in perfect balance. The other statements do not
describe this theory.
13. An individual who takes the magicoreligious perspective of illness and disease is
likely to believe that his or her illness was caused by:
A) germs and viruses.
B) supernatural forces.
, C) eating imbalanced foods.
D) an imbalance within his or her spiritual nature. - ANSWERS-B) supernatural forces.
Page: 21 The basic premise of the magicoreligious perspective is that the world is seen
as an arena in which supernatural forces dominate. The fate of the world and those in it
depends on the actions of supernatural forces for good or evil. The other answers do
not reflect the magicoreligious perspective.
14. If an American Indian has come to the clinic to seek help with regulating her
diabetes, the nurse can expect that she:
A) will comply with the treatment prescribed.
B) has obviously given up her beliefs in naturalistic causes of disease.
C) may also be seeking the assistance of a shaman or medicine man.
D) will need extra help in dealing with her illness and may be experiencing a crisis of
faith. - ANSWERS-C) may also be seeking the assistance of a shaman or medicine
man.
Page: 23 When self-treatment is unsuccessful, the individual may turn to the lay or folk
healing systems, to spiritual or religious healing, or to scientific biomedicine. In addition
to seeking help from a biomedical or scientific health care provider, patients may also
seek help from folk or religious healers.
15. An elderly Mexican-American woman with traditional beliefs has been admitted to
an inpatient care unit. A culturally-sensitive nurse would:
A) contact the hospital administrator about the best course of action.
B) automatically get a curandero for her because it is not culturally appropriate for her to
request one.
C) further assess the patient's cultural beliefs and offer the patient assistance in
contacting a curandero or priest if she desires.
D) ask the family what they would like to do because Mexican-Americans traditionally
give control of decisions to their families. - ANSWERS-C) further assess the patient's
cultural beliefs and offer the patient assistance in contacting a curandero or priest if she
desires.
Pages: 22-23 In addition to seeking help from the biomedical/scientific health care
provider, patients may also seek help from folk or religious healers. Some people, such
as those of Mexican-American or American Indian origins, may believe that the cure is
incomplete unless the body, mind, and spirit are also healed (although the division of
the person into parts is a Western concept).
3. A nurse is taking complete health histories on all of the patients attending a wellness
workshop. On the history form, one of the written questions asks, "You don't smoke,
drink, or take drugs, do you?" This question is an example of:
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